Individual
CODY JOHN EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 W 775 N, LAYTON, UT 84041-8716
(801) 589-2911
Mailing address
3663 W 775 N, LAYTON, UT 84041-8716
(801) 589-2911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13023662-1206
UT
Other
Enumeration date
08/02/2022
Last updated
12/11/2022
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